According to the Exercise and Brain Health: Good Points to Remember article in the December 27, 2012 issue of Bipolar Network News, “(…) exercise is extremely important in (…) helping to improve depressed mood, increasing cardiovascular fitness, and maintaining healthy cognition.” It is also suggested that aerobic fitness may increase the size of the hippocampus which in turn decreases risk factors for …
Coming Out
Coming out– One of the topics that has generated the most interest on this site has to do with whether to tell others about the challenges you have to deal with as the result of moods, especially whether to tell people that you have a diagnosis of a mood disorder. I have written a bit about this topic in a …
Two Minute Meditation
Sometimes when we most need to get to the meditative or mindful state… it can be hardest to get there. For many people, being a bit energized.. with our thoughts going quickly, many ideas, drawn to many things… sounds are more profound, colors are brighter, smells and tastes are richer… is such a time. There is good news. We have …
To Tell or Not – Part 2
In another post, we talked about the question of whether or not to tell friends and family about the challenges of living with mood disorders and, in particular, whether or not to share a diagnosis (such as bipolar). The discussions there about the many misunderstandings and misconceptions about moods and mood disorders that are commonplace in our society is relevant …
To Tell or Not – Part 1
One of the hottest topics on our forum, and one that led to a request for a blog post ,is the topic of whether or not to tell someone about your moods, particularly if you have a mood diagnosis. For mostly historical reasons, this issue is especially a concern for people with bipolar mood variations as opposed to unipolar moods …
Traveling
Traveling can be exciting, but it can also be very stressful. It is particularly important for people living with moods to do prepare for travel before they leave. A surprisingly high percentage of serious mood catastrophes, in our experience, happen during trips. And they are almost always preventable. First, if your traveling to some place without good medical care, it’s a …
What’s the Hurry
It’s been a very busy week for mental health professionals in the Bay Area. The holidays are ramping up. And it has been dark and rainy. Many people are feeling a great deal of stress. Last night, we got a call from a wonderful woman who we’ve been working with for several months. She said that she had had a …
Rousseau and Nature’s Way: Realistically Thinking about Treatment and Medication
We’ve been thinking about people who come to our clinic, say that they are not sure that they have a mood disorder, and they want to try get off of their medications and use dietary supplements to cope with their ups and downs. We have a lot of interest in the idea of using various non-medication options for managing moods. …
Mood Phobias
We were talking with a couple of wonderful psychologists about what it is that helps people come to terms with moods and learn to live with them creatively. One of the barriers to successful mood surfing is a fear of moods. I suppose the analogy is of someone who is afraid of the waves trying to learn how to surf. …
Appreciating Depression?
We are indebted to Tom Wootton for his observation that the key to living creatively with bipolar is accepting and making use of depression. Tom wrote a book about depression (The Depression Advantage) that was one of the first things he wrote about bipolar (for more, see his website, Bipolar Advantage). He noted that it was a difficult book to …
Knowledge is Power
We spent some time this morning trying to summarize the things that we would like to know about someone with mood cycles before coming up with a plan for moodsurfing. We would like to know the answers to these questions about their moods – Are there any seasonal patterns? Many people have characteristic shifts in mood at different times of …
Magic
It’s hard not to believe in magic when you have the experience of mood shifts. What can be more extraordinary and more magical than waking up one day, after a long stretch of struggles and pain, and seeing the world transformed all of a sudden into something positive and hopeful and vibrant and alive. This is about as close to …
Starbucks Therapy
We aren’t sure how we feel about the spread of Starbucks into every corner of America. But it does allow us to suggest a kind of intervention that may help you if you are depressed. It is based on Interpersonal Social Rhythm Therapy – which is one of the best validated psychotherapies for people with bipolar moods. Every morning, at …
Shamelessness
We think it’s about time for a little shamelessness. We have spent our entire lives trying to help people with moods find happy, satisfying lives. Honestly, one of the biggest challenges that we face is the shame and stigma that accompanies, for so many of us, any thought about depression or bipolar, or any of the other labels that we …
Online Resources
There is so much information on the internet. And so much misinformation. How to find good answers to your questions? This is a very selective list of resources that we have found helpful – Medications UpToDate – This is an online medical textbook that is updated continuously. It is the resource we use when we have questions. It also includes …
The End of Summer
Every year we notice two weeks that seem to affect a number of folks who have had seasonal depressions. The first period is the “End of Summer” – a foreshadowing of the coming fall that happens in late August or early September (depending on the weather, we guess). The second period is the “Beginning of Winter” – which usually takes …
Bipolar Brains
After years of trying, a group of researchers down at UCLA (led by Lori Altshuler) may have succeeded in identifying important changes in brain function that are associated with bipolar moods. They have found two specific areas of the brain that show pretty consistent changes associated with bipolar. One area (the orbitofrontal cortex) is generally less activated in bipolar, no …
NAC (n-acetyl-cysteine)
We were impressed by a recent study of n-acetyl cysteine as a treatment for marijuana dependence. It was a well designed study from a very reputable research group and the results were significant: the number of clean urines in the group getting NAC was twice as high as in the placebo group. It got us more interested in the agent …
Medications
Getting the right medicine, medication side effects, fear of being dependent on a medication, medications that stop working mysteriously… psychiatric medications evoke in us as many reactions as do psychiatric disorders… and psychiatrists. What we propose to do on this page is to try to collect and organize information that we have found helpful in thinking about psychiatric medications. As …
Doctors Part 2
Once you have found a good doctor (see Doctors Part 1 for thoughts on finding doctors), how can you make sure that you get the best help from that doctor (or doctors). Here are a few thoughts collected from our experiences working with many people over the years – 1. Plan ahead. It is almost always a good idea to …